<p class="BodyA"><strong>Background:</strong> Role of preoperative serum albumin on primary total knee arthroplasty.</p><p class="BodyA"><strong>Methods:</strong> A total of 1022 patients who underwent primary knee arthroplasty were collected. All patients were divided into the control group (preoperative serum albumin ≥3.5 g/dl) and case group (preoperative serum albumin <3.5 g/dl). The risk factors of preoperative hypoalbuminemia and the postoperative complications were analyzed.</p><p class="BodyA"><strong>Results:</strong> Compared to controls, hypoalbuminemia patients were older (p<0.05 ), had higher risk for any complication such as delayed wound healing, pleural effusion, and pneumonia, lower BMI and longer hospital stay (p<0.001).</p><p class="BodyA"><strong>Conclusions:</strong> Preoperative hypoalbuminemia is more frequent in patients who are older, have poor nutritional condition, and have more than two concurrent disorders. Hypoalbuminemia before surgery is linked to a higher risk of postoperative problems.</p>
<p><strong>Background</strong>: Total knee arthroplasty (TKA) being the definite procedure in degenerative arthritis of the knee is associated with a high cost that includes the cost of implants and in-hospital length of stay (LOS). Incurring such high costs will put a burden on the patients economically, so the goal being the reduction of hospital stay yet improving the functional outcome with better patient satisfaction.</p><p><strong>Methods</strong>: The study design is a retrospective analysis of 1022 patients of primary elective TKA, performed in our institution. The targeted indicators were sex, body mass index (BMI), pre-operative knee range of movements (ROM), knee deformity and duration of symptoms were analyzed.</p><p><strong>Results:</strong> Analyzing these patients, we found the average LOS is 6.4 days, and obesity, pre-op ROM and deformity all play a role to delay the discharge readiness in the patients. Our study showed that LOS after TKA is multifactorial.</p><p><strong>Conclusions:</strong> In acute setting for readiness of discharge the preoperative knee movements, deformity and patients’ functional abilities can be used to segregate patients who may require close monitoring or intensive physiotherapy.</p>
BackgroundScapholunate angle SLA greater than 80° is one of the indicators of surgery for carpal instability. The normal SLA is between 30-60°. This is based on studies which were conducted several decades ago in the western part of the world. The SLA of Indian population has never been measured before. The knowledge of normal SLA in each population becomes imperative because it lays down the guidelines for surgical and non-surgical management of wrist fractures and instability in that population. In this study, we aim to measure the SLAs in asymptomatic volunteers of South Indian origin and compare the results with existing data.MethodsAn observational study was done in a tertiary care hospital in South India. Lateral radiographs of the wrist of asymptomatic volunteers were taken. The SLA was measured using a software in the PACS system. The relation of SLA to gender, age, left and right sides and handedness was compared. These were compared to pre-existing global data available on SLAs.ResultsThe SLA of the 202 radiographs with 47 males and 54 females were studied.The average SLA was 51.33° and the range was between 29° and 74°.The average SLA of males was 51.8° and females 50.8°. There was no significant difference between the two.Similarly, there was no significant difference between the SLA of right and left sides in right handed and left handed subgroups.However, there was an increasing trend in SLA among females with age. But no similar pattern was seen among males.Interestingly, 39 out of the 202 radiographs (19.3%) had a SLA above 60°.ConclusionThis study suggests the normal SLA in South Indians may be higher than the previously established reference values and serves as a pilot project and a reference for further studies on SLA.
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